Based on public Medicaid payment data.
616 Dental Studio Pllc
Medicaid Provider in Grand Rapids, MI
Type
Organization
Address
171 Monroe Ave Nw
Grand Rapids, MI 495032634
Phone
6162147865
NPI
1720413636
Procedures
4
Total Claims
2.7K
Patients Served
2.6K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $36.80 | 2,453 | 2,441 |
| Dental Filling | $115.67 | 182 | 105 |
| Tooth Extraction | $78.35 | 39 | 13 |
| Dental Crown | $662.13 | 19 | 14 |
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